No office rate
27065 describes removal or curettage of a superficial bone lesion; 27066 is selected for a deep lesion.
On this page
CMS RVU26D · Effective 2026-10-01
27066 Bone lesion excision Medicare reimbursement rates in Wyoming
Reports operative removal or curettage of a deep benign bone lesion in the pelvis or hip when the procedure does not include autografting. Compare 27066 office and facility rates across CMS payment localities in Wyoming.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27066 in Wyoming?
Wyoming has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$738.91
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27066: Deep benign hip bone lesion excision
Reports operative removal or curettage of a deep benign bone lesion in the pelvis or hip when the procedure does not include autografting.
The surgeon reaches a deep lesion in pelvic or hip bone and removes it by excision or curettage. Typical targets are a benign bone tumor or cyst, rather than a broad resection of tumor-bearing bone. Orthopedic surgeons, including orthopedic oncologists, commonly perform this operation in an operating room.
Choose this code when the lesion is deep and the procedure does not include autografting. The operative report should identify the bone and site, lesion diagnosis, depth, extent of removal, and whether grafting was performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27066
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.92 · 48%
- Practice expense (office) RVU9.53 · 42%
- Malpractice RVU2.26 · 10%
213
Medicare services in 2024 · #4265 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
27066 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27067 is the related lesion procedure when autografting is included. Use 27066 when the procedure does not include autografting.
No office rate
27045 concerns excision of a deep hip or pelvic tumor measured by size, rather than focused removal or curettage of a benign bone lesion.
No office rate
27075 describes hip tumor resection; 27066 is for focused excision or curettage of a deep benign bone lesion.
Compare 27066 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Wyoming** →
Office / nonfacility
Unavailable
Facility
$738.91
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27066 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,735
- Code
- 27066
- Physician work
- 10.92
- Practice expense
- 9.53
- Malpractice
- 2.26
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.92 | × 1.000 | 10.9200 |
| Practice expense | 9.53 | × 1.000 | 9.5300 |
| Malpractice | 2.26 | × 0.740 | 1.6724 |
| Total RVUs | 22.1224 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$738.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.92 | 1 |
| Practice expense | 9.53 | 1 |
| Malpractice | 2.26 | 0.74 |
(10.92 × 1 + 9.53 × 1 + 2.26 × 0.74) × $33.4009 = $738.91
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27066 billing questions
How does this differ from 27065?
27066 is for a deep bone lesion; 27065 is the superficial-lesion counterpart. The operative documentation should support the depth distinction.
When should 27067 be considered?
Use 27067 when the lesion procedure includes autografting. This code describes the deep lesion procedure without that grafting option.
Does the code include related postoperative visits?
Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How are additional procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.
What supports reporting this code?
Document the specific pelvic or hip bone, the lesion and its diagnosis, its deep location, the removal or curettage performed, and whether autografting was part of the procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,73227060,,Removal of ischial bursa,A,,5.72,6.55,NA,6.55,,1.22,13.49,13.49,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73327062,,Remove femur lesion/bursa,A,,5.61,6.23,NA,6.23,,1.12,12.96,12.96,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73427065,,Remove hip bone les super,A,,6.39,7.48,NA,7.48,,1.35,15.22,15.22,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73527066,,Remove hip bone les deep,A,,10.92,9.53,NA,9.53,,2.26,22.71,22.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73627067,,Remove/graft hip bone lesion,A,,14.35,11.26,NA,11.26,,3.05,28.66,28.66,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73727070,,Part remove hip bone super,A,,11.27,11.21,NA,11.21,,2.25,24.73,24.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73827071,,Part removal hip bone deep,A,,12.08,12.80,NA,12.80,,2.55,27.43,27.43,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,